Adult ADHD care for San Francisco residents.

Telehealth-first care from Dr. D for California adults in San Francisco: one doctor, secure texting with the practice, pharmacy support, and follow-up between visits.

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Local Context

Care that fits San Francisco

San Francisco runs on long working hours, dense calendars, and hybrid schedules that make every clinic appointment a logistics decision. Adult ADHD care that lives in secure messaging and short, scheduled calls fits how people in the city already work.

Care is built for adults living and working in San Francisco who want a real doctor relationship, not a transactional protocol. That includes operators and individual contributors in tech, designers and writers, healthcare and education professionals, parents, and adults who have tried other telehealth ADHD services and wanted more continuity.

Local Note

What San Francisco weeks actually look like

A practical detail, not a marketing line.

San Francisco is dense with pharmacies, which sounds helpful and is mostly a logistics problem. The right pharmacy for an adult ADHD prescription is the one that has the right schedule II stock on the right week, not always the one nearest the office. The team works that lookup so the patient is not left calling around.

Telehealth Fit

Why telehealth, carefully

Old-school private practice judgment. New-tech access.

Telehealth through Spruce means no Muni transfer, no parking gamble, no half-day off the calendar to see a doctor. Dr. D meets you on a secure call. The team handles pharmacy and prior-authorization work between visits, which is where most adult ADHD care actually happens.

One doctor who stays involved. Dr. D messages first after care begins, follows your treatment closely, and keeps the practice small enough that you are not lost in a queue.

NorCal ADHD is telehealth-first. No walk-in clinic. Scheduled in-person care can be arranged in select Northern California locations when clinically needed. California residents only. See what this practice is not.

What's Included

How care actually works

A first appointment, then ongoing care through Spruce.

24/7 secure texting with the practice. Guaranteed reply within 24 hours. Real proactive follow-up from Dr. D after care begins. Not an emergency service.

Pharmacy red tape handled. Stock checks, substitution options, prior authorizations, and dose or formulation options when appropriate.

First-in-class treatment when appropriate. Dr. D follows you closely and helps keep care safe, informed, and optimized.

One doctor, one team, one standard of care. No rotating providers, no investor playbook.

Intake

Six steps from San Francisco

Start at the first appointment. Continue through Spruce if care begins.

Step 01 Choose a first appointment.

Step 02 Pay $50 to reserve.

Step 03 Share pre-visit history in Spruce.

Step 04 Meet with Dr. D on a secure call.

Step 05 Begin care if appropriate.

Step 06 Continue through Spruce.

Cost

Simple private-pay pricing

Four numbers. Superbills provided.

$50 to reserve your first appointment.

$199 charged after the appointment if care begins.

$249 total start-of-care cost, including the first appointment, activation, and first 4 weeks of care.

$99 every 4 weeks for ongoing care after that.

NorCal ADHD is an out-of-network private practice. Patients pay directly. Superbills are provided for possible reimbursement. Insurance is required. NorCal ADHD does not bill insurance directly.

See /pricing/ for the full breakdown and insurance and superbills.